Individual
MISS AALIYAH HAYAT SEIFULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(866) 270-4203
Mailing address
PO BOX 22067, LANSING, MI 48909-2067
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18530
CA
363LF0000X
Family Nurse Practitioner
Primary
4704239741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18530
NURSE PRACTITIONER LICENSE
CA
01
—
4704239741
NURSE PRACTITIONER LICENSE
MI
Enumeration date
07/09/2009
Last updated
09/30/2024
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